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ROCKBRIDGE ACADEMY Health History and Physical Examination Form for Interscholastic Sports Name: ___ Age: ___ Date of birth: ___ Address: ___ Phone: ___ Email: ___ Personal physician: ___ Contact
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How to fill out health history and physical

01
Start by gathering all necessary information such as personal details, medical history, family history, and current medications.
02
Use a health history form provided by the healthcare provider and fill out all sections accurately and completely.
03
Be honest about your medical history, including any past surgeries, chronic conditions, and allergies.
04
Remember to provide information about your lifestyle habits such as smoking, alcohol use, and exercise routine.
05
During the physical exam, cooperate with the healthcare provider and follow instructions for measurements, tests, and assessments.
06
Ask any questions or seek clarification on any part of the health history or physical exam that you do not understand.

Who needs health history and physical?

01
Anyone seeking medical care or treatment needs to fill out a health history and undergo a physical examination.
02
This information is crucial for healthcare providers to assess a person's overall health, identify any risk factors, and tailor treatment plans accordingly.
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Health history and physical is a comprehensive record that includes a patient's past health issues, medical conditions, surgeries, immunizations, medications, allergies, and current health status. It often includes a physical examination by a healthcare professional.
Typically, individuals entering school, participating in sports, or seeking employment in certain health-related fields are required to file health history and physical.
To fill out health history and physical, individuals should provide accurate and detailed information regarding their medical background, current health status, and any relevant family health history, ensuring to follow any specific instructions provided by the institution or organization.
The purpose of health history and physical is to identify any potential health risks, ensure that individuals are healthy enough to participate in specific activities, and to create a baseline for future medical care.
Information that must be reported includes personal identification details, current medications, allergies, previous medical conditions, family medical history, and the results of the physical examination.
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